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Best Practices in Zithromax Distribution

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Best Practices in Zithromax Distribution Chad MacArthur Helen Keller International IAPB 9th General Assembly, Hyderabad, India 17 September 2012 – PowerPoint PPT presentation

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Title: Best Practices in Zithromax Distribution


1
Best Practices in Zithromax Distribution
Chad MacArthur Helen Keller International IAPB
9th General Assembly, Hyderabad, India 17
September 2012
2
Critical Moments in the A of SAFE
1992-1997 Trials established azithromycin as
effective antibiotic for community
treatment 1997 Establishment of GET 2020
1997 Pfizer and Edna McConnell Clark
Foundation create International Trachoma
Initiative (ITI) to manage donation of
Zithromax 2006 US Congress through USAID
earmarks funding for integrated NTD control and
elimination 2008 ITI refocuses on Zithromax
distribution 2012 DFID Funding for trachoma
mapping SAFE
3
Political Support and Advocacy
  • Must be seen as a long term investment
  • Advocacy must be guided by an overall strategy
    using various channels
  • Political support must be garnered at every
    level
  • Launches appear to be very effective
  • Advocacy must be guided by evidence in the field

4
National Coordination and Planning
  • National Trachoma Task Forces
  • Need for strong government ownership
  • Need for data-driven strategic decision-making
  • Trachoma needs to be part of overall NTD
    strategic (Master) Plans

5
Micro-Planning
  • Improves efficiency of program and strengthens
    overall health system
  • Allows for tailoring to specific local contexts
  • Essential for scaling up activities

6
Personnel Community and Health Facility
  • Clear roles and responsibilities essential
  • Use of community agents critical for community
    engagement
  • Use of incentives for community distributors to
    stem attrition

7
Program Strategies
  • Ideally evolution should be based on experience
    but at times are externally driven
  • MDA strategies should be based on ability to be
    scaled-up
  • Different contexts demand different strategies
  • Integration can be a double-sided sword

8
Community Mobilization
  • Depends on community engagement
  • Engaging traditional leaders and other
    influential community members
  • Beneficiaries can be effective advocates within
    their own community
  • Use of campaigns more effective
  • Evaluation of mobilization efforts allows for
    data-driven decision-making

9
Supervision
  • Essential at all steps of program implementation
  • Needs to be task oriented
  • Supportive feedback is a key element
  • Training in supervision mandatory for successful
    programs
  • Supervision skills extend to other areas of
    health services

10
Recording and Reporting
  • Standardized reporting forms
  • Daily entry particularly in simple Excel allows
    for immediate troubleshooting
  • Measurement of coverage is first step in
    determining gaps
  • Reporting at community level requires constant
    oversight/supervision

11
Thank You
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